Provider Demographics
NPI:1619296332
Name:HEALING WITH CARE STAFFING-LLC
Entity Type:Organization
Organization Name:HEALING WITH CARE STAFFING-LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF MEDICAL SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-326-9933
Mailing Address - Street 1:655 LEWELLING BLVD
Mailing Address - Street 2:#299
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94579-1804
Mailing Address - Country:US
Mailing Address - Phone:877-326-9933
Mailing Address - Fax:
Practice Address - Street 1:15710 VIA ESMOND
Practice Address - Street 2:
Practice Address - City:SAN LORENZO
Practice Address - State:CA
Practice Address - Zip Code:94580-1326
Practice Address - Country:US
Practice Address - Phone:877-326-9933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-20
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY076018406251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health